Public disclosure of comparative clinical performance data

Lessons from the Scottish experience

Russell Mannion*, Maria Goddard

*Corresponding author for this work

Research output: Contribution to journalReview article

42 Citations (Scopus)

Abstract

There is growing international interest in making information available on the clinical quality and performance of health care providers. In the United States of America, where public reporting is most advanced, comparative performance information in the form of 'report cards', 'provider profiles' and 'consumer reports' has been published for over a decade. In Europe, Scotland has been at the forefront of releasing clinical performance data and has disseminated such information since 1994. This paper reviews the Scottish experience of public disclosure and distils the key lessons for other countries seeking to implement similar programmes. It is based on the findings of the first empirical evaluation of a national clinical reporting initiative outside the United States. The study examined the impact of publication of Scottish (CRAG) clinical outcome indicators on four key stakeholder groups: health care providers, regional government health care purchasers, general practitioners and consumer advocacy agencies. We conclude that those responsible for developing clinical reporting systems should not only pay close attention to developing technically valid and professionally credible data which are tailored to the information needs of different end users, but should also focus on developing a suitable incentive structure and organizational environment that fosters the constructive use of such information.

Original languageEnglish
Pages (from-to)277-286
Number of pages10
JournalJournal of Evaluation in Clinical Practice
Volume9
Issue number2
DOIs
Publication statusPublished - May 2003
Externally publishedYes

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Keywords

  • Performance measurement
  • Public disclosure
  • Quality

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